2026-09-10 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
A seatbelt buckle at the back of a bus was observed to be broken.
Correction date recorded: 2026-09-21
Licensed Center
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Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Texas HHSC records list 6 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 10, 2026.
The same records list 18 cited deficiencies dated September 20, 2024 to September 10, 2026 (HHSC risk levels: 1 High, 6 Medium High, 7 Medium, 4 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 18 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 18 cited deficiencies for Sienna Montessori School in the 3 years before October 10, 2026 (1 High, 6 Medium High, 7 Medium, 4 Medium Low).
Records list 6 inspections in this window. Most recent inspection: 2026-09-10.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 6 |
| Medium | 7 |
| Medium Low | 4 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-09-10 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
A seatbelt buckle at the back of a bus was observed to be broken.
Correction date recorded: 2026-09-21
2025-09-15 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
7 out of 10 children's records evaluated did not have the parent rights form completed.
Correction date recorded: 2025-09-26
2025-09-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Three infants did not have an updated feeding instruction that is required to be updated every 30 days.
Correction date recorded: 2025-09-26
2026-09-10 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
Corrected at inspection: No. Correction date: 2026-09-21. Correction verified: 2026-09-18.
A seatbelt buckle at the back of a bus was observed to be broken.
2025-09-15 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
5 out 10 children's records evaluated did not have a health statement in their file.
2025-09-15 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
6 out of 10 files evaluated did not have the preemployment affidavit in the file.
2025-09-15 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-29.
Two bathrooms in two different classrooms were observed to have the based board peeling and detached from the wall.
2025-09-15 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
3 out of 10 staff records evaluated did not have documentation showing education credentials.
2025-09-15 · 746.2409(a)(2) · Medium High
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-18.
Cribs that are being used by infants was observed to not have snug fitted sheets.
2025-09-15 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
5 out of 10 children's records evaluated did not have completed the authorization for emergency medical attention.
2025-09-15 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
2 out 10 staff records evaluated did not have a notarized affidavit in the file
2025-09-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-16.
Three infants did not have an updated feeding instruction that is required to be updated every 30 days.
2025-09-15 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-09-23.
7 out of 10 children's records evaluated did not have the parent rights form completed.
2025-01-21 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-21. Correction verified: 2025-01-28.
A review of the Employees Who Left Employment in 2024 data revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
2024-09-20 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-10-04. Correction verified: 2024-10-04.
2 out of 5 staff files reviewed did not show that they had completed the required health and safety topics in their most recently completed training year.
2024-09-20 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-26.
A caregiver hired 9/8/24 did not have proof that orientation had been completed within 7 days.
2024-09-20 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-23.
10 out of 10 children's files reviewed did not have proof that parents had received information related to parent's rights contained within the operational policies.
2024-09-20 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2024-10-04. Correction verified: 2024-10-04.
5 out of 5 staff files reviewed showed caregivers and the director with online CPR certification that does not meet minimum standard requirements.
2024-09-20 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-23.
One child did not have a copy of their must current immunizations on file and was missing 3 required immunizations.
2024-09-20 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-23.
2 caregivers hired within the last year did not have the pre-employment affidavit available for review in their file.
2024-09-20 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2024-09-27. Correction verified: 2024-10-02.
A caregiver hired 9/9/24 with no previous childcare experience did not have proof that 8 hours of preservice had been completed prior to being counted in ratio.
2022-11-30 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-12-14. Correction verified: 2022-12-01.
2 out of 10 records reviewed for children were missing immunization records.
2021-12-16 · 746.2409(a)(2) · Medium High
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: Yes. Correction date: 2021-12-16. Correction verified: Not recorded.
It was observed one infant was sleeping in the crib with mattress sheet that was not not snugly fitted in Mobile Infant classroom. NOTE: This was corrected, the caregiver fixed the fitted sheet during the inspection.
2021-12-03 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2021-12-10. Correction verified: 2021-12-28.
The training record for one employee in Red Room classroom was not available for reviewed. The caregiver was hired since August 2021.
2021-12-03 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2021-12-03. Correction verified: 2021-12-16.
An 6 month old infant was observed sleeping in the bouncer during the inspection. NOTE: The infant was being removed from the bouncer during the inspection.
2021-12-03 · 746.1301(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation Training
Corrected at inspection: No. Correction date: 2021-12-06. Correction verified: 2021-12-03.
The transportation training for one caregiver was not available for review.
2021-12-03 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2021-12-10. Correction verified: 2021-12-13.
Two Infant feeding Instruction Forms for two Infants ages 11mo and 13mo were observed not being updated. The last forms was observed completed by parents since September 2021.
2021-12-03 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2021-12-03. Correction verified: Not recorded.
Several water bottles were observed not being labeled with children name in the Non-Mobile Infants classroom; Red Room Primary Classroom. NOTE: This was corrected as the bottles were labeled with the children names during the inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=169364
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.